Summary
Overview
Work History
Education
Skills
Timeline
Generic

Chelsy Day

Fernandina Beach

Summary

I have 11 years of RN experience including LTSS Utilization Management Review, Maternal Newborn, NICU, Adult Pulmonary Med/Surg, RN Care Coordinator at a Pediatric Medically Complex Clinic with duties involving patient care and work initiatives for a HRSA program for NICU graduates. I have 6 years of Charge RN experience on a high risk Mother/Baby Unit and 5 years of CNA experience in home health setting and hospital setting. I would describe myself as a caring & compassionate nurse with a strong work ethic who is passionate about process improvement, evidence based practice, and improving health care for all. I am knowledgeable and skilled in nursing assessment, complex care coordination, prior authorization, medical necessity, microsoft suite, and much more. I strive to maintain exceeds on evaluations and audits. I work well independently and collaboratively with a team.

Overview

14
14
years of professional experience

Work History

Utilization Management Reviewer

Amerihealth Caritas
06.2023 - Current

Current job duties consist of reviewing assigned cases to determine medical necessity for long term services and supports. I am on a work group that is developing new and improved training materials and curriculum for Service Coordinators and Reviewers. I also precept new employees to the Reviewer position.

RN Care Coordinator

UF Health Jacksonville Physicians, Inc.
01.2023 - 06.2023

This position involved part time work in the Pediatric Medically Complex Clinic providing patient care, prior authorizations, writing letters of medical necessity, etc and part time work on a HRSA grant as a Care Coordinator to improve and provide a seamless transition for NICU graduates transitioning from the in-patient setting to their homes in the community. I attended NICU rounds in-patient, met with families, coordinated care follow-ups, connected with families once home on, identified needs and areas of risk for readmission.

Registered Nurse

UF Health at Jacksonville
02.2014 - 01.2023

I started on the mother/baby unit as a nursing assistant and transitioned to the RN role in 2014. This unit was a high-risk, fast-paced unit providing care to mothers and babies including level 2 NICU. I was a core charge Nurse for 6 years responsible for this unit and the Neonatal Abstinence Syndrome unit caring for babies going through withdrawal.

Registered Nurse

St. Vincent’s Medical Center Riverside
02.2015 - 11.2015
  • Pulmonary Medical Surgical Unit

This unit was comparable to progressive care. I took care of patients with Tracheostomy, severe COPD, Cystic fibrosis, Tuberculosis, Sickle Cell Crisis, Wounds, PICC lines, feeding tubes. I often floated to our sister unit, the infectious disease unit.

Patient Care Associate

UF Health at Jacksonville
02.2011 - 02.2014
  • Patient Care Associate in the Postpartum and Newborn Nursery at UF Health Jacksonville

Education

Associate of Science - Nursing

Florida State College at Jacksonville
Jacksonville, FL
12.2013

Bachelor of Science - Nursing

Western Governors University
Salt Lake City, UT
08.2018

Skills

  • Clinical Nursing Experience
  • Clinical Charge Nurse Expertise
  • Certified Nursing Assistant Experience
  • Direct Patient Support
  • Process Improvement
  • Evidence Based Practice
  • Root Cause Analysis
  • Health care improvement
  • Nursing assessment
  • Complex care coordination
  • Medication management
  • Prior authorization
  • Medical necessity
  • Time management
  • Ability to work under pressure
  • Independent work
  • Interdisciplinary collaboration

Timeline

Utilization Management Reviewer

Amerihealth Caritas
06.2023 - Current

RN Care Coordinator

UF Health Jacksonville Physicians, Inc.
01.2023 - 06.2023

Registered Nurse

St. Vincent’s Medical Center Riverside
02.2015 - 11.2015

Registered Nurse

UF Health at Jacksonville
02.2014 - 01.2023

Patient Care Associate

UF Health at Jacksonville
02.2011 - 02.2014

Bachelor of Science - Nursing

Western Governors University

Associate of Science - Nursing

Florida State College at Jacksonville
Chelsy Day